Inj, adalimumab, 1 mg at Parkwest Medical Center
9352 Park West Blvd, Knoxville, TN · Fsregional · · NPI 1396739165
$1,246.07
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$4,153.57
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$45.87 with United Healthcare vs $3,738.21 with Galaxy Health Network — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United Healthcare | Tenncare | $45.87 | ↓ -96% |
| Wellpoint | Medicaid Tenncare | $85.53 | ↓ -93% |
| United Healthcare | Heritage Select | $172.97 | ↓ -86% |
| United Healthcare | Options PPO | $172.97 | ↓ -86% |
| United Healthcare | All Other Plans | $172.97 | ↓ -86% |
| Aetna | Commercial | $1,608.67 | ↑ +29% |
| EHN | Network Lease | $1,869.10 | ↑ +50% |
| Ambetter | Exchange | $2,076.78 | ↑ +67% |
| Cigna | Local Plus | $2,110.01 | ↑ +69% |
| Cigna | IFP | $2,110.01 | ↑ +69% |
| Cigna | HMO | $2,483.83 | ↑ +99% |
| Cigna | OAP | $2,483.83 | ↑ +99% |
| Cigna | POS | $2,483.83 | ↑ +99% |
| BCBS TN | Commercial Network S | $2,492.14 | ↑ +100% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $2,492.14 | ↑ +100% |
| BCBS TN | Commercial Network P | $2,492.14 | ↑ +100% |
| Community Services Network | NonProfit Public Benefit | $2,699.82 | ↑ +117% |
| USA Managed Care Organization | PPO | $2,907.49 | ↑ +133% |
| Beech Street | PPO | $3,115.17 | ↑ +150% |
| NovaNet | Network Lease | $3,115.17 | ↑ +150% |
| Direct Care America | PPO | $3,322.85 | ↑ +167% |
| National Provider Network | PPO | $3,322.85 | ↑ +167% |
| Cigna | BHO | $3,322.85 | ↑ +167% |
| MedSave USA | Commercial | $3,322.85 | ↑ +167% |
| CCN Managed Care | PPO | $3,530.53 | ↑ +183% |
| Initial Group | PPO | $3,655.14 | ↑ +193% |
| Galaxy Health Network | PPO | $3,738.21 | ↑ +200% |
Visitor-reported prices
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Inj, adalimumab, 1 mg at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fort Sanders Regional Medical Center | Knoxville | $1,370.68 | $45.87 – $3,738.21 |
| Roane County Medical Center | Harriman | $1,370.68 | $45.87 – $3,738.21 |
| LeConte Medical Center | Sevierville | $1,204.54 | $45.87 – $3,738.21 |
| Fort Loudoun Medical Center | Lenoir City | $1,370.68 | $45.87 – $3,738.21 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $1,370.68 | $45.87 – $3,738.21 |
| Cumberland Medical Center, Inc. | Crossville | $1,329.14 | $55.04 – $3,738.21 |
| Morristown-Hamblen Hospital Association | Morristown | $1,246.07 | $45.87 – $3,738.21 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $432.43 – $432.43 |